Organization Active NPI

Cutchogue Barths Pharmacy Inc

  • Pharmacy
  • Cutchogue, NY
National Provider Identifier
1154666444
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CUTCHOGUE BARTHS PHARMACY INC
Doing business as
Cutchogue Barths Pharmacy
Practice address
28195 Main Road
Cutchogue, NY 11935
Phone
(631) 734-6796
Fax
(631) 734-2382
NPI assigned
Nov 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Louis Vincent Cassara
Title
President/Owner
Phone
(631) 734-6796

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 031625 NY
Pharmacy 333600000X Primary

Addresses

Primary practice location

28195 Main Road
Cutchogue, NY 11935

Mailing address

73 Jagger Lane
Westhampton, NY 11977
Phone (631) 902-1865

Other identifiers 1

IdentifierTypeStateIssuer
2139538OtherPK

Other names 1

  • Cutchogue Barths Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180803000154 NY Part B Supplier - Pharmacy 3072861228 Practice locations: Cutchogue, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1154666444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 JAGGER LANE",
            "city": "WESTHAMPTON",
            "state": "NY",
            "postal_code": "11977",
            "telephone_number": "631-902-1865",
            "fax_number": "631-998-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28195 MAIN ROAD",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "11935",
            "telephone_number": "631-734-6796",
            "fax_number": "631-734-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTCHOGUE BARTHS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "CASSARA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "631-734-6796",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "031625",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cutchogue Barths Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cutchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.